Healthcare Provider Details

I. General information

NPI: 1003804493
Provider Name (Legal Business Name): ARTHUR C SOSIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 08/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1259 S CEDAR CREST BLVD SUITE 100
ALLENTOWN PA
18103-6206
US

IV. Provider business mailing address

1259 S CEDAR CREST BLVD SUITE 100
ALLENTOWN PA
18103-6206
US

V. Phone/Fax

Practice location:
  • Phone: 610-437-4134
  • Fax: 610-770-0993
Mailing address:
  • Phone: 610-437-4134
  • Fax: 610-770-0993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD012271E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberMD012271E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: